Reducing surgical instrument usage: systematic review of approaches for tray optimization and its advantages on environmental impact, costs and efficiency | BJS Open | Oxford Academic

Myrthe M M Eussen, Esmee Logghe, Stijn Bluiminck, Daan J Comes, Merel L Kimman, Brigitte A B Essers, Lianne M Wellens, Schelto Kruijff, Philip R de Reuver, Nicole D Bouvy, Reducing surgical instrument usage: systematic review of approaches for tray optimization and its advantages on environmental impact, costs and efficiency, BJS Open, Volume 9, Issue 3, June 2025, zraf030, https://doi.org/10.1093/bjsopen/zraf030 Operating rooms generate substantial waste and budget expenditure due to extensive material usage. Reusable instruments are often packaged in trays, which accumulate instruments over time. This review quantifies the advantages of tray optimization (removing redundant instruments), including reduced environmental impact, costs, operating room and processing time. Following PRISMA guidelines, searches were conducted in PubMed, Embase, Web of Science and The Cochrane Library in August 2024 for studies on optimizing surgical trays in human surgeries. Studies were included if they

Myrthe M M Eussen, Esmee Logghe, Stijn Bluiminck, Daan J Comes, Merel L Kimman, Brigitte A B Essers, Lianne M Wellens, Schelto Kruijff, Philip R de Reuver, Nicole D Bouvy, Reducing surgical instrument usage: systematic review of approaches for tray optimization and its advantages on environmental impact, costs and efficiency, BJS Open, Volume 9, Issue 3, June 2025, zraf030, https://doi.org/10.1093/bjsopen/zraf030 Operating rooms generate substantial waste and budget expenditure due to extensive material usage. Reusable instruments are often packaged in trays, which accumulate instruments over